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高压氧(HBO)治疗急性创伤性颈脊髓损伤

Hyperbaric oxygen (HBO) therapy for acute traumatic cervical spinal cord injury.

作者信息

Asamoto S, Sugiyama H, Doi H, Iida M, Nagao T, Matsumoto K

机构信息

Department of Neurosurgery, Tokyo Metropolitan Ebara Hospital, Tokyo, Japan.

出版信息

Spinal Cord. 2000 Sep;38(9):538-40. doi: 10.1038/sj.sc.3101023.

Abstract

STUDY DESIGN

A retrospective study of spinal cord injury (SCI) treated with and without hyperbaric oxygen (HBO) therapy.

OBJECTIVES

To report on the use of HBO in spinal cord injury.

SETTING

Neurosurgical Unit, Tokyo, Japan.

METHODS

Thirty-four cases of hyperextension spinal cord injury without bone damage and previous history of surgical intervention were divided into two groups, with (HBO) or without (non-HBO) therapy. The neurological findings at admission and their outcomes were evaluated by means of Neurological Cervical Spine Scale (NCSS)1 and the average improvement rates in individual groups were compared.

RESULTS

The improvement rate ranged from 100% to 27.3% with the mean value of 75. 2% in the HBO group, while these values were 100%, 25.0% and 65.1% respectively in the non HBO group.

CONCLUSION

In the HBO group, the improvement rate indicated effectiveness in acute traumatic cervical spinal cord injury.

摘要

研究设计

一项关于脊髓损伤(SCI)接受或未接受高压氧(HBO)治疗的回顾性研究。

目的

报告高压氧在脊髓损伤治疗中的应用情况。

地点

日本东京神经外科病房。

方法

34例无骨损伤且无既往手术干预史的过伸性脊髓损伤患者被分为两组,一组接受(HBO)治疗,另一组不接受(非HBO)治疗。通过神经颈椎评分量表(NCSS)1评估入院时的神经学检查结果及其预后,并比较各小组的平均改善率。

结果

HBO组的改善率在100%至27.3%之间,平均值为75.2%,而非HBO组的相应值分别为100%、25.0%和65.1%。

结论

在HBO组中,改善率表明其对急性创伤性颈脊髓损伤有效。

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